Male Death Registration: Year: 1970 number: 3961
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003961
1. PLACE OF DEATH County of Guysborough If in City or Town Little Dover
If death occured in a hospital or institution on highway
3. PRINT NAME OF DECEASED Myatt, Donald Gerald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Little Dover
9. DATE OF BIRTH 5 22, 1951
10. AGE in Years19 Months Days6 | hrs or mins
11. Trade or profession Waiting to Enter Trade School
12. Kind of industry Trade ?
13. Date last worked Unemployed 14. Total years
15. If married name of spouse
16. NAME of Father Donald Ambrose Myatt
17. BIRTHPLACE Little Dover
18. NAME of Mother Evelyn Bouchie
19. BIRTHPLACE Little Dover
20. Signature of Informant Harvey Myatt
address Box 838 Antigonish
Relationship to deceased Brother
21. Place of burial Little Dover.
Date of burial May 31 /1970
22. Undertaker Nathan Rynold, Philip's Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1970
CAUSE OF DEATH
(a) automobile accident-fractured base of skull, sturnum, ribs
(b)
(c)
other Accident - 2 car collision
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489271
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